Harrison, Jeffrey G

Harrison, Jeffrey G is an individual health care provider with primary practice located at 201 N Breazeale Ave , Mount Olive NC 28365-1603. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Harrison, Jeffrey G can be contacted via phone (919) 658-4954.

Contact Information

Primary practice address
201 N Breazeale Ave Mount Olive NC 28365-1603
Phone: (919) 658-4954
Fax: (919) 581-4966
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 102551 North Carolina

Profile Details

NPI number 1205825601
LBN Legal business name Harrison, Jeffrey G
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Feb 20th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205825601 NPPES
North Carolina Other MEDICAL LICENSE 102680

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